Kodi dokotala wanu wakupatsani mankhwala ochizira kupweteka pachifuwa, omwe timawatcha angina? Pakati pa mankhwala amenewo, mwina mwawonapo dzina lakuti Isosorbide Mononitrate. Uwu ndi mankhwala omwe nthawi zambiri amaperekedwa kwa anthu omwe ali ndi matenda a mtima. Chifukwa chake, mwina muli ndi mafunso ambiri okhudza mankhwalawa. Musadandaule, lero tikambirana za mankhwalawa, zomwe amachita, momwe angagwiritsire ntchito, ndi zinthu zomwe muyenera kusamala nazo.
Mwachidule, kodi chimachitika ndi chiyani ndi mankhwalawa?
Isosorbide Mononitrate ndi mankhwala omwe ali m'gulu la mankhwala otchedwa nitrates. Ntchito yake yayikulu ndikuletsa kupweteka pachifuwa, kapena angina.
Ganizirani mtima wanu ngati pampu yamadzi yomwe imagwira ntchito mosalekeza. Pamene mitsempha yamagazi yomwe imanyamula magazi kupita ndi kuchokera ku pampu iyi yachepa, pampuyo imayenera kugwira ntchito molimbika. Pamenepo ndi pamene kupweteka pachifuwa kumachitika. Mankhwalawa amagwira ntchito pokulitsa (kumasula) mitsempha yamagazi yozungulira mtima. Izi zimapangitsa kuti magazi aziyenda mosavuta, kuchepetsa ntchito pamtima. Izi zimachepetsa ululu wa angina.
Chofunika Kwambiri: Mankhwalawa amagwiritsidwa ntchito popewa ululu, osati kuchiza kupweteka kwadzidzidzi pachifuwa. Dokotala wanu mwina anakupatsani mankhwala ena (monga piritsi losalankhula) chifukwa cha ululu wadzidzidzi.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati chilichonse mwa izi chikukukhudzani, onetsetsani kuti mwauza dokotala wanu za mankhwalawa.
- Ngati munadwalapo matenda a mtima kapena vuto la mtima kale.
- Ngati mwakhalapo ndi vuto la ziwengo chifukwa cha mankhwala a Isosorbide Mononitrate awa, mankhwala ena amtundu wa nitrate, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, kapena mukuyembekezera mwana .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, zidzakhala zosavuta kwa dokotala kusankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Momwe mungamwere: Mezani piritsi ili ndi kapu ya madzi.
- Tsatirani malangizo a dokotala wanu: Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera. Musamwe mankhwala opitirira muyeso.
- Pewani kuyima mwadzidzidzi: Ichi ndiye chinthu chofunikira kwambiri.Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda kufunsa dokotala wanu. Kuchita zimenezi kungapangitse kuti zizindikiro zanu (kupweteka pachifuwa) ziwonjezeke kwambiri. Ngati mukufuna kusiya kumwa mankhwalawa, muyenera kutero pochepetsa pang'onopang'ono mlingo. Dokotala wanu adzakufotokozerani momwe mungachitire izi.
- Kupatsa ana: Mankhwalawa nthawi zambiri saperekedwa kwa ana. Upangiri wapadera wachipatala umafunika.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, musazengereze . Imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) mwachangu momwe mungathere.
Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina mankhwala awa chifukwa chakuti ali ndi zizindikiro zomwezo monga inu.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Mankhwala ena omwe amakhudzana ndi mankhwalawa (Interactions)
Mankhwala ena angayambitse zotsatirapo zoopsa akamwedwa ndi Isosorbide Mononitrate. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Musamwe Isosorbide Mononitrate ndi izi konse! | |
|---|---|
| Mankhwala a ED | Mankhwala monga Avanafil, Sildenafil, Tadalafil, Vardenafil. Kumwa mankhwalawa pamodzi kungayambitse kuthamanga kwa magazi kotsika kwambiri. |
| Riociguat | Iyi ndi mankhwala omwe amakhudza kuthamanga kwa magazi. |
| Lankhulani ndi dokotala wanu za kutenga izi pamodzi. | |
| Mankhwala ena a kuthamanga kwa magazi | Kuthamanga kwa magazi kungachepe kwambiri . |
| Mankhwala ena omwe amatengedwa pa angina kapena matenda a mtima | Kuyanjana kungachitike. |
Kuonjezera apo, kumwa mowa kungakulitse chizungulire ndi kugunda kwa mtima, choncho ndi bwino kupewa kumwa mowa mukamamwa mankhwalawa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Chizungulire: Mungamve chizungulire kapena mutu wopepuka mukumwa mankhwalawa. Pewani kuyendetsa galimoto, kugwiritsa ntchito makina, ndi kuchita ntchito zina zomwe zimafuna kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Kusintha malo: Kuti mupewe chizungulire ndi kukomoka, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala kapena pabedi. Dzukani pang'onopang'ono . Izi ndizofunikira makamaka ngati ndinu munthu wokalamba.
- Kuthamanga kwa magazi ndi kugunda kwa mtima: Yang'anani kuthamanga kwa magazi ndi kugunda kwa mtima wanu nthawi zonse monga momwe dokotala wanu walangizira. Dziwani zomwe zili zoyenera komanso nthawi yomwe muyenera kuyimbira dokotala wanu.
- Mankhwala a matenda ena: Ngati muli ndi chifuwa, chimfine, kapena kupweteka kwa thupi, musagule mankhwala ku pharmacy popanda kufunsa dokotala wanu. Mankhwala ena ali ndi zosakaniza zomwe zingawonjezere kuthamanga kwa magazi.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Isosorbide Mononitrate ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Ngati zizindikirozi zichitika, imbani dokotala nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, maso abuluu. |
| Kugunda pang'onopang'ono kwa mtima | Chizungulire, kukomoka, kupuma movutikira, kutopa kosazolowereka. |
| Kuwonjezeka kwa ululu pachifuwa (Angina) | Kuwonjezeka kwa ululu, kupanikizika, kapena kukanika pachifuwa, pakhosi, msana, kapena m'manja. |
| Zizindikiro za Methemoglobinemia | (Apa ndi pamene mphamvu ya magazi yonyamula mpweya imachepa) - Mutu waukulu, kutopa kosazolowereka, kupuma movutikira, nseru, kusanza, kugunda kwa mtima mofulumira, khungu labuluu kapena milomo. |
| Kupanikizika kochulukira kuzungulira ubongo | Mutu waukulu, kusawona bwino, kusintha kwa masomphenya, nseru, kusanza. |
| Kawirikawiri si nkhani yaikulu, koma uzani dokotala ngati ikupitirira. | |
| Mutu | Izi ndi zachilendo mukayamba kumwa mankhwalawo ndipo zidzatha patatha masiku ochepa. |
| Chizungulire | Sinthani malo pang'onopang'ono monga tafotokozera pamwambapa. |
| Kutsuka | Kumva kutentha pakhungu kapena kufiira kwa nkhope. |
Uthenga Wopita Nawo Kunyumba
- Isosorbide Mononitrate ndi mankhwala operekedwa kuti apewe kupweteka pachifuwa (angina). Si mankhwala operekedwa chifukwa cha ululu wadzidzidzi.
- Musasiye kumwa mankhwalawa mwadzidzidzi popanda kufunsa dokotala wanu .
- Musamwe mankhwalawa ndi Sildenafil (monga Viagra), mankhwala omwe amagwiritsidwa ntchito pochiza vuto la kusowa maliseche. Ndi owopsa kwambiri.
- Popeza chizungulire chingachitike mukamamwa mankhwala, dzukani pang'onopang'ono mukamadzuka mutakhala pansi kapena mutagona.
- Ngati mukukumana ndi mavuto aakulu (mutu waukulu, kusintha kwa masomphenya, kupuma movutikira, kupweteka kwambiri pachifuwa), uzani dokotala wanu nthawi yomweyo .
- Uzani dokotala wanu za mankhwala onse omwe mukumwa.
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